Provider Demographics
NPI:1245410844
Name:HULL, ELIZABETH SCHLITZ (NP)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:SCHLITZ
Last Name:HULL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:A
Other - Last Name:SCHILTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:161 RIVERSIDE DRIVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905
Mailing Address - Country:US
Mailing Address - Phone:607-798-1842
Mailing Address - Fax:607-729-0147
Practice Address - Street 1:161 RIVERSIDE DRIVE
Practice Address - Street 2:SUITE 302
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905
Practice Address - Country:US
Practice Address - Phone:607-798-1842
Practice Address - Fax:607-729-0147
Is Sole Proprietor?:No
Enumeration Date:2007-11-12
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF320070-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner